MR. MARK HALLIE MCMULLAN FNP-C NPI 1275309551

NPI Information

  • NPI: 1275309551
  • Provider Name: MR. MARK HALLIE MCMULLAN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 562 W MAIN ST
    COOKEVILLE, TN
    ZIP 38506
  • Phone: (931) 854-9601

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NPI Details

MR. Mark Hallie Mcmullan, FNP-C is a family nurse practitioner in Cookeville, TN with 2 years of experience. MR. Mark Hallie Mcmullan, FNP-C NPI is 1275309551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

562 W MAIN ST
COOKEVILLE, TN
ZIP 38506-382
Phone: (931) 854-9601
Fax: (931) 854-9605

The NPI 1275309551 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/28/2023 and was last updated on 12/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner95027052CALIFORNIANo
2363LF0000XNurse PractitionerFamily35187TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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